| Dominic J Mintalucci, MD | |
|
1405 Montgomery Dr, Santa Rosa, CA 95405-4557 | |
| (707) 546-1922 | |
| (707) 546-1897 |
| Full Name | Dominic J Mintalucci |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 18 Years |
| Location | 1405 Montgomery Dr, Santa Rosa, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114126869 | NPI | - | NPPES |
| A126421 | Other | CA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A126421 (California) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | A126421 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sutter Santa Rosa Regional Hospital | Santa rosa, CA | Hospital |
| Santa Rosa Memorial Hospital | Santa rosa, CA | Hospital |
| Petaluma Valley Hospital | Petaluma, CA | Hospital |
| California Pacific Medical Ctr-davies Campus Hosp | San francisco, CA | Hospital |
| Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Santa Rosa Orthopaedic Medical Group, Inc. | 4981655057 | 9 |
| Entity Name | Santa Rosa Orthopaedic Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518907336 PECOS PAC ID: 4981655057 Enrollment ID: O20050207000100 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic J Mintalucci, MD 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 Ph: (707) 546-1922 | Dominic J Mintalucci, MD 1405 Montgomery Dr, Santa Rosa, CA 95405-4557 Ph: (707) 546-1922 |
Raymond Severt, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1144 Sonoma Ave, Suite 121, Santa Rosa, CA 95405 Phone: 707-978-4322 Fax: 707-538-2519 | |
Dr. Peter Bernard Albert Pappas, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 76 Brookwood Ave, Santa Rosa, CA 95404 Phone: 707-523-2381 Fax: 707-523-2677 | |
Christian Nabil Athanassious, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 | |
Jacob Zipperstein, MD Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4080 | |
Dr. Thomas C Degenhardt, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1987 | |
Dr. Roger A Klein, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1111 Sonoma Ave, Suite 106, Santa Rosa, CA 95405 Phone: 707-576-0366 Fax: 707-576-0468 | |
Dr. Mark E. Schakel Ii, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1405 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-1922 Fax: 707-546-1897 |